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1144754748
LAURA LESTAGE
SEQUIM, WA
NPI
1144754748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO 60701375)
Enumeration Date
2017-04-20
Last Update Date
2017-04-20
Business Address
-- LAURA LESTAGE CDPT
390 E CEDAR ST
SEQUIM, WA 98382-3403
Phone number: 360-681-8463
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Mailing Address
-- LAURA LESTAGE CDPT
PO BOX 3175
SEQUIM, WA 98382-5011
Phone number:
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